Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.23 / $60.87 / $135.04	Facility	26	$53.23	$60.87	$135.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.49 / $57.05 / $69.16	Professional	26	$48.49	$57.05	$69.16
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $43.98 / $53.60 / $87.10	Facility	26	$43.98	$53.60	$87.10